Water's Edge Center for Health & Rehabilitation — nursing home in Middletown, CT

Facility type: Nursing home · SNF / NF
CMS provider type: Medicare and Medicaid
Certified beds: 150 CMS-certified beds (not state-licensed beds)
Licensed beds: 150 state-licensed beds · Connecticut Department of Public Health / Office of Policy and Management
State license: 2097C active
Average residents per day: 133.4 CMS, MDS-derived
CMS Certification Number: 075381
Certification status: Active CMS certification Verified
First approved (Medicare/Medicaid): Jan 29, 1993
Ownership type: For profit - Corporation
Operator (legal business name): Harbor Hill Care Center, Inc
CMS chain: National Health Care Associates 42 facilities
Phone: (860) 347-7286
Resident & family council: Resident
Sprinklers in all required areas: Yes
Official profile: Medicare Care Compare ↗

Inspection record · CMS window

Verified

Inspections

15

latest Mar 25, 2026

Citations

37

36 health · 1 fire

Harm or worse

4

1 immediate jeopardy

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G3	H·	I·
Potential harm	D27	E5	F·
Minimal	A·	B1	C·

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

CMS Five-Star ratings

Federal · CMS

Overall

Health inspections

Staffing

Quality measures

Penalties · about the last 3 years

Fines

3

$91,899

Payment denials

0

Latest

Mar 5, 2026

Federal certification

Federal · CMS

Authority: Centers for Medicare & Medicaid Services (CMS), surveyed by the state survey agency
CCN: 075381
Program: Medicare and Medicaid
Medicare (SNF): Certified
Medicaid (NF): Certified
Certified beds: 150
First approved: Jan 29, 1993
Located in a hospital: No
Status: Active CMS certification as of CMS release Oct 1, 2026
Evidence: Verified

State license

Authority: Connecticut Department of Public Health / Office of Policy and Management
License number: 2097C
State facility ID: 2097C
License type: Chronic and convalescent nursing home (CCNH)
License status: active
Licensed beds: 150
Link to CMS record: Linked by exact CCN Verified
As of: Dec 31, 2025
Evidence: Verified source ↗

Federal certification and the state license are different records. A nursing home is licensed by the state and, separately, certified by CMS to bill Medicare and/or Medicaid. We link them by the CCN when the state publishes it; otherwise by exact address, house number and street, or exact name within the same ZIP, and label that link as inferred. Never by name alone.

CMS publishes about the three most recent standard surveys plus complaint and infection-control inspections from the prior three years. Older findings leave the dataset; their absence is not evidence they never happened.

Date	Domain	Survey types	Citations	Most severe	Open
Mar 25, 2026	Fire safety	Fire Safety Standard	1	Potential harm	—	Open →
Mar 25, 2026	Health	Health Complaint, Health Standard	12	Actual harm	—	Open →
Mar 5, 2026	Health	Health Complaint	2	Actual harm	—	Open →
Jul 30, 2025	Health	Health Complaint	2	Actual harm	—	Open →
Jan 30, 2025	Health	Health Complaint	2	Potential harm	—	Open →
Dec 17, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Aug 7, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jul 8, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jul 3, 2024	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Jul 3, 2024	Health	Health Complaint, Health Standard	9	Immediate jeopardy	—	Open →
Apr 2, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Jan 2, 2024	Health	Health Complaint	1	Potential harm	—	Open →
Oct 24, 2023	Health	Health Complaint	1	Potential harm	—	Open →
Mar 3, 2022	Fire safety	Fire Safety Standard	0	No citations	—	Open →
Mar 3, 2022	Health	Health Standard	3	Potential harm	—	Open →

Enforcement

Penalties

Civil money penalties and denials of payment for new admissions, as published by CMS (about the last three years). Amounts may change on appeal.

Date	Type	Amount	Payment denial	Record
Mar 5, 2026	Civil money penalty (fine)	$63,000	—	075381\|Fine\|139645
Mar 5, 2026	Civil money penalty (fine)	$13,257	—	075381\|Fine\|139644
Jul 3, 2024	Civil money penalty (fine)	$15,642	—	075381\|Fine\|5537

Scope × severity

Severity	Isolated	Pattern	Widespread
Immediate jeopardy	J1	K·	L·
Actual harm	G3	H·	I·
Potential harm	D27	E5	F·
Minimal	A·	B1	C·

By concept

Date	Tag	Deficiency	Scope / severity	Correction	Flags
Mar 25, 2026	F-0600	Protect each resident from all types of abuse such as physical, mental, sexual abuse, physical punishment, and neglect by anybody. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	G · Actual harm Isolated	Corrected May 1, 2026
Mar 25, 2026	K-0271	Have exits that are accessible at all times. Egress Deficiencies · Environment & life safety	D · Potential harm Isolated	Corrected Apr 15, 2026
Mar 25, 2026	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 1, 2026
Mar 25, 2026	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 1, 2026
Mar 25, 2026	F-0607	Develop and implement policies and procedures to prevent abuse, neglect, and theft. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 1, 2026
Mar 25, 2026	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 1, 2026
Mar 25, 2026	F-0610	Respond appropriately to all alleged violations. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 1, 2026
Mar 25, 2026	F-0657	Develop the complete care plan within 7 days of the comprehensive assessment; and prepared, reviewed, and revised by a team of health professionals. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 1, 2026
Mar 25, 2026	F-0658	Ensure services provided by the nursing facility meet professional standards of quality. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance Mar 9, 2026
Mar 25, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 1, 2026
Mar 25, 2026	F-0760	Ensure that residents are free from significant medication errors. Pharmacy Service Deficiencies · Medication management	D · Potential harm Isolated	Past non-compliance Mar 9, 2026	Complaint
Mar 25, 2026	F-0825	Provide or get specialized rehabilitative services as required for a resident. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected May 1, 2026
Mar 25, 2026	F-0880	Provide and implement an infection prevention and control program. Infection Control Deficiencies · Infection prevention	D · Potential harm Isolated	Corrected May 1, 2026
Mar 5, 2026	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance	Complaint
Mar 5, 2026	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 30, 2026	Complaint
Jul 30, 2025	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	G · Actual harm Isolated	Past non-compliance May 12, 2025	Complaint
Jul 30, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance May 12, 2025	Complaint
Jan 30, 2025	F-0609	Timely report suspected abuse, neglect, or theft and report the results of the investigation to proper authorities. Freedom from Abuse, Neglect, and Exploitation Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Past non-compliance Jan 24, 2025	Complaint
Jan 30, 2025	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Past non-compliance Jan 24, 2025	Complaint
Dec 17, 2024	F-0842	Safeguard resident-identifiable information and/or maintain medical records on each resident that are in accordance with accepted professional standards. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Jan 20, 2025	Complaint
Aug 7, 2024	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Sep 17, 2024	Complaint
Jul 8, 2024	F-0805	Ensure each resident receives and the facility provides food prepared in a form designed to meet individual needs. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	D · Potential harm Isolated	Corrected Jul 29, 2024	Complaint
Jul 3, 2024	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	J · Immediate jeopardy Isolated	Corrected Jul 5, 2024	Complaint
Jul 3, 2024	F-0580	Immediately tell the resident, the resident's doctor, and a family member of situations (injury/decline/room, etc.) that affect the resident. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Aug 9, 2024
Jul 3, 2024	F-0584	Honor the resident's right to a safe, clean, comfortable and homelike environment, including but not limited to receiving treatment and supports for daily living safely. Resident Rights Deficiencies · Resident rights & abuse/neglect	E · Potential harm Pattern	Corrected Aug 9, 2024	Complaint
Jul 3, 2024	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 9, 2024
Jul 3, 2024	F-0697	Provide safe, appropriate pain management for a resident who requires such services. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Aug 9, 2024
Jul 3, 2024	F-0791	Provide or obtain dental services for each resident. Quality of Life and Care Deficiencies · Clinical care	E · Potential harm Pattern	Corrected Aug 9, 2024
Jul 3, 2024	F-0804	Ensure food and drink is palatable, attractive, and at a safe and appetizing temperature. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 9, 2024
Jul 3, 2024	F-0812	Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards. Nutrition and Dietary Deficiencies · Food, nutrition & hydration	E · Potential harm Pattern	Corrected Aug 9, 2024
Jul 3, 2024	F-0625	Notify the resident or the resident’s representative in writing how long the nursing home will hold the resident’s bed in cases of transfer to a hospital or therapeutic leave. Resident Rights Deficiencies · Resident rights & abuse/neglect	B · Minimal Pattern	Corrected Aug 9, 2024
Apr 2, 2024	F-0557	Honor the resident's right to be treated with respect and dignity and to retain and use personal possessions. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected May 14, 2024	Complaint
Jan 2, 2024	F-0656	Develop and implement a complete care plan that meets all the resident's needs, with timetables and actions that can be measured. Resident Assessment and Care Planning Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Feb 13, 2024	Complaint
Oct 24, 2023	F-0550	Honor the resident's right to a dignified existence, self-determination, communication, and to exercise his or her rights. Resident Rights Deficiencies · Resident rights & abuse/neglect	D · Potential harm Isolated	Corrected Dec 5, 2023	Complaint
Mar 3, 2022	F-0684	Provide appropriate treatment and care according to orders, resident’s preferences and goals. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 14, 2022
Mar 3, 2022	F-0689	Ensure that a nursing home area is free from accident hazards and provides adequate supervision to prevent accidents. Quality of Life and Care Deficiencies · Clinical care	D · Potential harm Isolated	Corrected Apr 14, 2022
Mar 3, 2022	F-0841	Designate a physician to serve as medical director responsible for implementation of resident care policies and coordination of medical care in the facility. Nursing and Physician Services Deficiencies · Staffing & supervision	E · Potential harm Pattern	Corrected Apr 14, 2022

“Corrected” does not erase a citation: the historical finding stays listed with its disposition. Narrative statements of deficiencies are not part of the CMS dataset; see Care Compare for the official inspection report.

Five-Star ratings

Federal · CMS

Overallstate 3

Health inspectionsstate 2.7

Staffingstate 3.1

Quality measuresstate 3.7

Long-stay QM

Short-stay QM

CMS ratings apply to CMS-certified nursing homes only and are relative within each state. They are not a guarantee of any individual resident’s experience.

Nurse staffing · hours per resident per day

Total nurse staffing3.67

State avg 3.90US avg 3.90

Registered nurse (RN)0.47

State avg 0.71US avg 0.69

Licensed practical nurse0.90

State avg 0.87US avg 0.86

Nurse aide2.30

State avg 2.33US avg 2.35

Weekend total nurse3.31

State avg 3.48US avg 3.43

Reported from Payroll-Based Journal (PBJ) data, as published by CMS. Case-mix adjusted total: 3.43 (case-mix index 1.50).

Staff turnover

Total nursing staff turnover43.4%

State avg 37.3%US avg 45.3%

Registered nurse turnover42.1%

State avg 38.0%US avg 42.5%

Administrators who left0

State avg 1US avg 1

Health survey score

Cycle 1 standard survey: Mar 25, 2026
Cycle 1 health score: 88
Total weighted score: 109.75

Operating entity

Harbor Hill Care Center, Inc

CMS legal business name of the certified provider. Operates this facility only.

VerifiedLinked by exact legal name

CMS chain

National Health Care Associates

42 facilities in 6 states. CMS chain ID 363.

VerifiedAssigned by CMS

Chain average overall rating (CMS): 3.2

Ownership disclosures

Disclosures

11

Organizations

6

Individuals

5

Direct & indirect ownership

Owners of record

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The Harry and Helen Ostreicher Family Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	17%	Jan 1, 2009
Marvin Ostreicher Family Trust 2012	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 10, 2021
Susan Ostreicher Family Trust 2012	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 10, 2021
Izask Keller S Corp Life Estate Trust Fbo Hymie Keller	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	8%	Dec 31, 1992
Izask Keller S Corp. Life Estate Trust Fbo Perl Brown	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	8%	Dec 31, 1992
David Smilovitz Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Jan 1, 2017
Doris Laufer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Sep 8, 1980
Peggy Weberman	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Jan 1, 1980
Agnes Zitter	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6%	Sep 10, 2021

CMS Ownership file

All disclosed roles

Operator, owners, managers, officers and lenders are distinct roles and are never flattened into one entity. Organizations link across facilities by exact normalized legal name; individuals are listed per facility only.

Name	Type	Role (Carefield group)	CMS role text	Share	Since
The Harry and Helen Ostreicher Family Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	17%	Jan 1, 2009
Marvin Ostreicher Family Trust 2012	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 10, 2021
Susan Ostreicher Family Trust 2012	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	10%	Sep 10, 2021
Izask Keller S Corp Life Estate Trust Fbo Hymie Keller	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	8%	Dec 31, 1992
Izask Keller S Corp. Life Estate Trust Fbo Perl Brown	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	8%	Dec 31, 1992
David Smilovitz Trust	Organization	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Jan 1, 2017
Doris Laufer	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Sep 8, 1980
Peggy Weberman	Individual	Direct owner	5% OR GREATER DIRECT OWNERSHIP INTEREST	5%	Jan 1, 1980
Agnes Zitter	Individual	Indirect owner	5% OR GREATER INDIRECT OWNERSHIP INTEREST	6%	Sep 10, 2021
Marvin Ostreicher	Individual	Corporate officer / director	CORPORATE DIRECTOR	not provided	Sep 10, 2021
Michael Rayel	Individual	Managing employee	W-2 MANAGING EMPLOYEE	not provided	Jan 22, 2018

Same chain in Connecticut

All 41 in chain →

Facility	Beds	Last inspection	Citations (window)	Fines
Montowese Center for Health & Rehabilitation 163 Quinnipiac Avenue, North Haven, CT 06473 CCN 075017Abuse icon	120	May 12, 2026	771 IJ2 harm	$10k
Milford Health and Rehabilitation Center 195 Platt Street, Milford, CT 06460 CCN 075064	120	Jun 16, 2026	211 harm	$12k
Hebrew Center for Health and Rehabilitation 1 Abrahams Blvd, West Hartford, CT 06117 CCN 075109Abuse icon	257	Jul 29, 2026	521 harm	$28k
Bloomfield Center for Nursing & Rehabilitation 355 Park Avenue, Bloomfield, CT 06002 CCN 075138Abuse icon	120	Jan 22, 2026	54	—
Village Crest Center for Health & Rehabilitation 19 Poplar Street, New Milford, CT 06776 CCN 075208	95	Aug 3, 2026	323 harm	$24k
The Pines at Bristol for Nursing & Rehabilitation 61 Bellevue Avenue, Bristol, CT 06010 CCN 075221	132	Mar 13, 2026	28	—
Maple View Health & Rehabilitation Center 856 Maple St, Rocky Hill, CT 06067 CCN 075238	120	Dec 3, 2025	10	—
Riverside Health & Rehabilitation Center 745 Main St, East Hartford, CT 06108 CCN 075257Abuse icon	345	Aug 6, 2026	464 harm	$46k

No building or property record is linked to this facility yet. Parcel, assessor and building-permit joins will be added only where a valid site match exists.

Coordinates as published by CMS.

Address: 111 Church Street, Middletown, CT 06457
ZIP: 06457
County: Middlesex County FIPS 09007
Assigned by point in polygon Inferred
State: Connecticut
Urban / rural (CMS): Urban

Within ~25 km

Nearby nursing homes

Facility	Distance	Beds	CMS overall	Last inspection	Citations (window)	Fines
Apple Rehab Middletown 600 Highland Ave, Middletown, CT 06457 CCN 075089Abuse icon	2.1 km	70		Jun 10, 2026	711 harm	—
Wadsworth Glen Health Care and Rehabilitation Cent 30 Boston Rd, Middletown, CT 06457 CCN 075312Abuse icon	2.1 km	102		Aug 11, 2025	451 harm	—
Portland Care & Rehab Centre, Inc 333 Main St, Portland, CT 06480 CCN 075214	2.9 km	65		Mar 10, 2026	361 harm	$10k
Autumn Lake Healthcare at Cromwell 385 Main Street, Cromwell, CT 06416 CCN 075263	5.1 km	175		Apr 2, 2026	601 harm	$11k
Pilgrim Manor 52 Missionary Rd, Cromwell, CT 06416 CCN 075306	5.1 km	60		Dec 16, 2025	181 harm	$12k
Apple Rehab Cromwell 156 Berlin Road, Cromwell, CT 06416 CCN 075380Abuse icon	7.6 km	85		Jul 20, 2026	452 harm3 open	$28k
Cobalt Lodge Healthcare and Rehabilitation Center 29 Middle Haddam Road, Post Office Box 246, Cobalt, CT State license only	8.2 km	60 lic.	Not CMS rated	—	No inspections in window	—
Cobalt Lodge Health Care and Rehabilitation Center 29 Middle Haddam Rd, Cobalt, CT 06414 CCN 075232Abuse icon	8.2 km	60		Jun 3, 2026	721 IJ3 harm	$37k

Source	Record	Facts	Evidence	Source release	Retrieved
CMS Provider Information US-CMS	075381	name, address, phone, certification, certified_beds, ownership_type, legal_business_name, chain	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	075381	ratings, staffing, health_survey_score Five-Star ratings and PBJ staffing apply to the CMS-certified universe only.	Verified	Oct 1, 2026	Nov 7, 2026
CMS Provider Information US-CMS	075381	county_fips County assigned by locating CMS coordinates in Census county boundaries (the CMS county name did not match the Census code list).	Inferred	Oct 1, 2026	Nov 7, 2026
Connecticut Nursing Facility Registry CT	2097C	state_license, licensed_beds, licensee Linked to the CMS record by exact CCN.	Verified	Apr 30, 2026	Nov 7, 2026

Record-level source links for CCN 075381

First seen by Carefield Nov 7, 2026 · last changed Nov 7, 2026. This record as JSON · Report a correction